Pommerenke, Forrest A
Pommerenke, Forrest A is an individual health care provider with primary practice located at 4220 Carolina Exchange Dr , Myrtle Beach SC 29579-4220. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pommerenke, Forrest A can be contacted via phone (843) 663-8013.Contact Information
Primary practice address
4220 Carolina Exchange Dr
Myrtle Beach SC 29579-4220
Phone: (843) 663-8013
Fax: (843) 663-8166
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 22630 | South Carolina |
Profile Details
| NPI number | 1952331662 |
|---|---|
| LBN Legal business name | Pommerenke, Forrest A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952331662 | NPPES |
| South Carolina | MEDICAID | 226302 |
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